Facility Evaluation Report
Capacity6
Census5
Date signed01/26/2024 04:35:07 PM
On 1/26/2024, Licensing Program Analyst (LPA), Melissa Spaeth conducted an unannounced complaint visit regarding Complaint #31-AS-20240124091144. During the visit, LPA observed a caregiver working at the facility who had not obtained a California clearance or a criminal record clearance. The Administrator stated the individual was shadowing the Administrator but had not obtained the required clearance.
Per CA Code of Regulations, Title 22, the following deficiencies were issued (See 9099-D).
Exit interview conducted, appeal rights discussed, and a copy of the report was given.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction